NPI | 1336139369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0993418) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 13600) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 13600) | |
Enumeration Date | 2005-10-21 |
Last Update Date | 2018-05-04 |